| NPI | 1093021768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15359) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60167870) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2021-04-05 |